gastroenteritis pediatría ppt

Opiates are contraindicated, and the others have limited scientific evidence to outweigh risks) � Antiemetics currently antiemetics are not recommended in the treatment of AGE. Though some clinical studies have demonstrated that ondansetron can decrease vomiting and hospitalization. Give ORS until diarrhea & vomiting subsides • For older children – give ORS, avoid spicy food, give dry foods eg biscuits, drink diluted juice and bland food as tolerated, Symptoms of dehydration • sunken eyes & fontanelles • Dry mucous membrane • Loss of skin turgor • Weight loss • Reduce urine output • Change in mental status ie confusion, delirium • Sign of shock eg low BP and tachycardia, NURSING MANAGEMENT ANXIETY DUE TO DISCOMFORT • Administer analgesic & antibiotics as prescribed. (13% of all deaths). Transmission • Fecal-oral • Contaminated water supplies • Poor hygiene • Food • Fomites. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. Prevention Vaccination-RotaTeq & Rotarix Probiotics Washing hands. Trauma leve. Clinical manifestations:- • Incubation period <48 hrs. 22. Even in cases (eg, dysentery) where a bacterial pathogen is suspected, antibiotics may prolong the carrier state (Salmonella) or may increase the risk of hemolytic uremic syndrome (enterohemorrhagic E coli).30. acute gastroenteritis is a disease characterized by changes in, Acute Gastroenteritis: An Approach - . ámbito de la Pediatría sobre los sistemas de retención infanti página 9 ERRORES DE DIAGNÓSTICO Fiebre, vómitos y diarrea, no siempre una infección banal página 20 PROGRAMA DE AUTOEVALUACIÓN Urgencias cardiológicas página 17 ARTÍCULOS COMENTADOS Sociedad Española de Urgencias de Pediatría www.seup.org ISSN: 16965752 D. Legal: M . Autores Dr. Luis Sánchez Santos Pediatra. Definitions and Terms: Acute Gastroenteritis (AGE): diarrheal disease of rapid onset, with or without accompanying symptoms, signs, such as nausea, vomiting, fever, or abdominal pain, 1. — loperamide is not recommended for use in children < 2 y. Antisecretory agents • Bismuth subsalicylate can alleviate stool output in children or symptoms of diarrhea, nausea, and abdominal pain in traveler’s diarrhea. Free access to premium services like Tuneln, Mubi and more. • If child vomits, wait ten minutes and give it ORS again. Paediatric Nursing Dk.Norasmah phi 23 rd Intake. acute, Acute Diarrhoea and Gastroenteritis in Childhood - Current health problems in students’ home countries. Gastroenteritis, 2002. Principles of appropriate treatment for children with diarrhea and dehydration WGO Practice Guidelines. (13% of all deaths). Definition. We've updated our privacy policy. In case you need help on any kind of academic writing visit website ⇒ www.HelpWriting.net ⇐ and place your order, Do not sell or share my personal information, 1. approach etiology diagnosis treatment, Acute Gastroenteritis in pediatric population - . In secretoryDiharrea enterotoxin produced by microorganism, Enteral feeding should be continued during recovery from. - Fatty foods and foods high in simple sugars should be avoided. prof t rogers dept of clinical microbiology. Additional therapy:- • Anti-motility(Loperamide) NO Role. inhibits intestinal peristalsis and has mild antisecretory properties. • Enteropathogenic E. coli (EPEC) — children < 2 years; chronic diarrhea in children; rarely causes disease in adults. Views: 46, By: DrDwayne Parasitic agents Giardia intestinalis, Cryptosporidium parvum, Entamoeba histolytica, and Cyclospora cayetanensis most commonly cause acute diarrheal illness in children. Predictors of Symptom Worsening or Improvement using Remote Patient Reported ... physiological monitoring of a surgical patient.pptx, Multimodal Augmented Homeostasis; MMM2023 Keynote RJ.pptx, Clinical Examination of the Shoulder.pptx. • Vaccine Was licensed in 1998 for infants 2,4,6 mo. Now customize the name of a clipboard to store your clips. Acute Gastroenteritis in pediatric population . • Waterborne outbreaks of diarrhea caused by cryptosporidium commonly and others like:-Shigella, E.coli, Norovirus and Giardia. • Rehydrate until symptoms of dehydration subsides • Continue breast feeding • ½ strength milk as tolerated. Sample Gordon's Functional Health Pattern: Intestinal Obstruction Powerpoint ... Anatomy and Physiology: Gastrointestinal Tract. It appears that you have an ad-blocker running. However, depending on the infecting serotype and especially in children, they may also cause gastroenteritis. for 3 days), furazolidone (1.25 mg/kg, q.i.d. according to nami. approach etiology diagnosis treatment, Acute Diarrhoea and Gastroenteritis in Childhood - Current health problems in students’ home countries. should be avoided in bloody or suspected inflammatory diarrhea (febrile patients). Diarrhea Classification • Pathophysiology • Osmotic • Secretory • Exudation • Abnormal motility • Duration • Acute (< 2 weeks) • Chronic (> 2 weeks), Osmotic diarrhea • Def: Increased amounts of poorly absorped, osmotically active solutes in gut lumen • Interferes with reabsorption of water • Solutes are ingested • magnesium • sorbitol • malabsorption of food (mucosal injury, lactase deficiency), Secretory diarrhea • Excess secretion of electrolytes, fluid across mucosa • Usually coupled with decrease in absorption • Watery, high-volume diarrhea with dehydration • Enterotoxins: Cholera, E. coli, food poisoning, Rotavirus (? webinar: march 15, 2013 . Clean food preparation & preservation. We’ve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. GASTROENTERITIS - PowerPoint PPT Presentation 1 / 24 Remove this presentation Flag as Inappropriate I Don't Like This I like this Remember as a Favorite Share About This Presentation Title: GASTROENTERITIS Description: Key to differential with bacterial infections. Energy given should be 100 Cal/Kg/d and proteins 2-3glKg/d. Get powerful tools for managing your contents. It appears that you have an ad-blocker running. La 21.ª edición de Nelson. Retrieved 12/16/2010. Do not sell or share my personal information, 1. En nuestro medio, constituye una las patologías más frecuentes en las consultas de Pediatría de Atención Primaria, siendo un proceso autolimitado para la mayoría de los niños. Any antibiotic can trigger infection with C difficile, though penicillins, cephalosporins, and clindamycin are the most likely causes.3 Since 50% of neonates and young infants are colonized with C difficile, symptomatic disease is unlikely in children younger than 12 months.3, 8. prepared by: sharon, ANTIFUNGAL PROPHYLAXIS IN PEDIATRIC ACUTE LEUKEMIA - . Although often considered a benign disease, acute gastroenteritis remains a major cause of morbidity and mortality in children around the world, accounting for 1.34 million deaths annually in children younger than 5 years, or roughly 15% of all child deaths. Viral causes of gastroenteritis • Rotavirus • Calcivirus(Norwalk) • Enteric Adenovirus • Astrovirus • Others Torovirus,Coronavirus and Pesivirus, Rotavirus • Mostly in infants between3-24 months. The second most common cause of death in children <5 years. Infectología: Dr. Christopher Roberts paolo aquino, m.d., m.p.h. gastroenteritis noeliarod. paolo aquino, m.d., m.p.h. Introduction • Very common reason to A&E • In third-world countries, gastroenteritis results in 3 million deaths annually • In HK • 1/3 rotavirus • 1/3 bacteria (mainly Salmonella) • 1/3 no organism identified (Nelson E et al; Guidelines for the Management of . Work-Up Diagnosing gastroenteritis is mainly an exclusion procedure History & Physical 2 vital functions: Differentiating gastroenteritis from other causes of vomiting and diarrhea in children Estimating the degree of dehydration. • Many species of Vibrio cause diarrhea in developing countries. salmonella. Central Pontine Myelinolysis Fluctuating LOC Pseudobulbar palsy Quadraparesis, Electrolytes 1 Hypernatremia : Na > 145meq/L Causes : - Water loss > electrolyte loss e.g. • In inflammatory diharrea extensive histological damage,release of cytokines leads to increase crypt secretion of Chloride ion by increasing c-AMP.Uncoupling of both Na-H,Hco3-CL –and Na-Glucose uptake. Activate your 30 day free trial to continue reading. amina ahmed april 26, 2011. pathogens of gastroenteritis. Nosología de Pediatría http://www.nhsdirect.nhs.uk/checksymptoms/topics/gastroenteritis. Seasonal variation: increased in winter and decreased in summer. • Rota virus immunization.oral live attenuated pentavalent vaccine. Se define Gastroenteritis Aguda (GEA) como aquel cuadro de menos de dos semanas de evolución caracterizado por diarrea (deposiciones de menor consistencia y mayor frecuencia que la habitual; operacionalmente se define como ≥3 deposiciones anormales en 24 hrs. The primary manifestation is diarrhea, but it may be accompanied by nausea, vomiting, and abdominal pain. In adults, the two most common causes of gastroenteritis are viral and bacterial infections: Manuel Meléndez Mendoza 121568. Peak isolation rates are found in children 2 years of age and younger. Every child <5 years has 3.6 episode of diarrhea/year. umesh d. parashar, mbbs, mph lead, viral, Noroviruses - . an inflammation of the stomach and intestines commonly found during, Management of Acute Gastroenteritis (Oral Rehydration and Nutritional Therapy) - . The vaccine has been endorsed by the American Academy of Pediatrics (AAP).In April 2008, the FDA approved Rotarix, another oral vaccine, for prevention of rotavirus gastroenteritis. Diferentes definiciones de gastroenteritis, clasificacion de la diarrea, epidemiología, factores de riesgo, etiología y cuadros característicos, fisiopatología, manifestaciones clínicas y diagnóstico clínico, semiología de la diarrea , signos de deshidratación, laboratorios, diferenciales, complicaciones y tratamiento. what is mental illness?. (13% of all deaths). 1. Definición e impacto de la gastroenteritis aguda infecciosa. ESTADO ACTUAL DEL TEMA La gastroenteritis aguda (GEA) es una de las principales causas de morbilidad y mortalidad en la infancia. Activate your 30 day free trial to unlock unlimited reading. Clostridium difficile has emerged as an important cause of antibiotic-associated diarrhea in children. DDX Food poisoning Lactose intolerance Malabsorption syndromes Irritable bowel syndrome Diabetic Ketoacidosis Appendicitis Peptic Ulcer Disease Foreign Body Ingestion Intussusception Volvulus Hemolytic Uremic Syndrome Pyloric Stenosis Hepatitis Urinary Tract Infections and Pyelonephritis Inflammatory Bowel Disease Septic shock Pancreatitis. We’ve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. baby boy ralph upchurch. Enfermedad diarreica aguda pediatria sheila, Atención integral de las enfermedades diarreicas agudas - CICATSALUD, Enfermedad diarreica aguda (EDA) y deshidratacion, Gastroenteritis bacteriana aguda en el niño, Tratamiento Farmacologico De La Diarrea Aguda Infantil Nuevo. paolo aquino, m.d., m.p.h. You can read the details below. Incidence:-. Unidad i digestivo - sindrome diarreico agudo - fernanda pineda gea - med... Enfermedad diarreica aguda pediatria sheila, Trastornos diarreicos y manejo del niño trabajo, DISEÑO DE INSTRUMENTOS DE INVESTIGACIÓN SOCIAL.pptx, Métodos de separación de mezclas GRUPO #7.pdf, Saneamiento Sostenible Descentralizado y cierre del ciclo de nutrientes.pptx. Clipping is a handy way to collect important slides you want to go back to later. Salmonella Infections an update - . WAFA SAMA’N Pediatrics MD. La gastroenteritis es una inflamación de las mucosas del tubo digestivo, que con frecuencia se ve acompañada de fiebre, náuseas, vómitos, diarrea y dolor abdominal principalmente. Gastroenteritis aguda Patología frecuente en pediatría Los niños menores de 3 años presentan 1,3 a 2,3 episodios anuales En EE.UU. • Vit-A supplement. • If diarrhea is severe, anti diarrheal eg Imodium(Loperamide) is administered but not recommended for children below 6 years • Antiemetic for nausea & vomiting but not recommended for children below 6 years, NURSING MANAGEMENT SKIN CARE • Use barrier cream(eg Drapolene for nappy rash care for infant.) dr mohamed abu nada pediatric neurology department dr. al rantisi specialized children. dr mohamed abu nada pediatric neurology department dr. al rantisi specialized children, Acute Gastroenteritis: An Approach - . Oral rehydration solution (ORS) mmol/L constituents Sodium 75 Chloride 65 Glucose, anhydrous 75 Potassium 20 Citrate 10 Total osmolarity 245 For all children with diarrhea: 20 mg zinc for 14 days. Acute Gastroenteritis: An Approach - . Reporte de Inteligencia Turística por Media Más. Acute Gastroenteritis - . With gastroenteritis, your stomach and intestines are irritated and inflamed. Diarrheagenic Escherichia coli. Prevention:- • Promotion of exclusive breast feeding so no other fluid or food should be given in 1st 6 months. gastroenteritis. paediatric nursing dk.norasmah phi 23 rd intake. Alternative antimicrobials for treating cholera in children are TMP-SMX (5 mg/kg TMP + 25 mg/kg SMX, b.i.d. acute diarrhoea. We've updated our privacy policy. Do not sell or share my personal information, 1. Emerging foodborne pathogens - . Activate your 30 day free trial to unlock unlimited reading. Views: 462, By: DrDwayne We've updated our privacy policy. Currently, two vaccines have been approved: a live oral vaccine (RotaTeq™) made by Merck for use in children, and GSK’s Rotarix™. Views: 336, By: Reddy PANCREATITIS AGUDA Y CRONICA.pptx, PRESENTACIÓN SF. Now customize the name of a clipboard to store your clips. Manuel Meléndez Follow PEDIATRIC ACUTE KIDNEY INJURY - Pediatric acute kidney injury. The second most common cause of death in children <5 years. • Most common cause is viral like Rota,norovirus(Norwalk) then adenovirus and enteric viruses. created by: Katherine L. Laud, SN. • Vomiting is common; fever is rare. • S. flexneri — dysenteric symptoms and persistent illness; most common in developing countries. You can read the details below. By accepting, you agree to the updated privacy policy. Views: 507, By: DrDwayne • Low grade fever,vomiting followed by diharrea lasting

En México un niño sufre de 2 a 3 episodios de diarrea por año. GASTROENTERITIS GASTROENTERITIS AGUDA AGUDA DEFINICION: DEFINICION: Trastorno caracterizado por aumento en el Trastorno caracterizado por aumento en el numero de deposiciones y/o disminución numero de deposiciones y/o disminución en su consistencia, de instauración en su consistencia, de instauración rápida. La gastroenteritis aguda es una de las enfermedades pediátricas más frecuentes y la segunda causa de mortalidad infantil en el mundo. Gastroenteritis resulting from an infection can also cause fever. • Racecadotril ( acetetorphan) is an enkephalinase inhibitor (nonopiate) with antisecretory activity, and is now licensed in many countries in the world for use in children. Incidence:- • The second most common cause of death in children <5 years. acute, Acute Diarrhoea and Gastroenteritis in Childhood - Current health problems in students’ home countries. By accepting, you agree to the updated privacy policy. Incidence. Gastroenteritis infecciosa hps dr carreòn, Gastroenteritis infecciosa y enfermedad de hirschprung, 4.2 problemas gastrointestinales_del_nino, Gastroenteritis aguda por Carlos M. Montaño Pérez. She was brought to the clinic by the parents due to diarrhea and vomiting since the previous day. In 1999, production was stopped after the vaccine was causally linked to intussusception in infants. 黃顯宗. Epidemiology of acute diarrhea: developed versus developing countries. Usually vomiting will stop. objectives. HEALTH EDUCATION • If the child still needs ORS after 24 hours, make a fresh solution. 1. Copyright ©2016 MedicPresents All rights reserved. Clipping is a handy way to collect important slides you want to go back to later. history. Every child <5 years has 3.6 episode of diarrhea/year. patient details. Base de coliflor con pollo y aguacate. 9,1%. Presentación Descubrimientos sobre el tratamiento universal de la hepatitis C Tema de Google Slides y plantilla de PowerPoint gratis ¿Quieres presentar nuevos descubrimientos en la búsqueda de un tratamiento universal de la hepatitis C? We've updated our privacy policy. Additional therapy:- • Zinc supplement reduce duration ,severity and prevent recurring diharrea. III. 3 Gastroenteritis aguda (GEA) Etiología de la GEA GUIA DE PRACTICA CLINICA. • Newborns usually are asymptomatic some may develop NEC outbreaks in nurseries. • There are 160 million infections annually in developing countries, primarily in children. Treatment Fluid Management Rehydration protocols: Mild: 50-100 cc/kg of ORS plus replacement over 4 hours** Moderate: 100cc/kg of ORS plus replacement over 4 hours Severe: Bolus of 20-30 cc/kg lactated Ringer's (LR) or normal saline (NS). By: DrDwayne Acute Diarrhoea and Gastroenteritis in Childhood - Current health problems in students’ home countries. • Vitamin A defficiency. Activate your 30 day free trial to continue reading. 14. REHYDRATION • Oral rehydration can be accomplished by drinking frequent small amounts of an oral rehydration salt solution. Summarize the treatment of a child with gastroenteritis. viral gastroenteritis. Delivered po or ng. Background. DIAPOSITIVAS 3 DE DICIEMBRE. Looks like you’ve clipped this slide to already. By accepting, you agree to the updated privacy policy. We’ve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. It appears that you have an ad-blocker running. • The incidence of clinical illness peaks in children between 4 and 23 months of age. In the United States, acute gastroenteritis accounts for 1.5. university of kentucky. 76 slides Pediatric gastroenteritis 1 berrick 2k views • 35 slides Acute gastroenteritis Pediatrics 2.2k views • 52 slides Gastroenteritis - Pharmacotherapy Kainat Panjwani, PharmD 12.5k views • 38 slides Gastroenteritis Lazoi Lifecare Private Limited 2k views • 11 slides Gastroenteritis Richard Saint Cyr MD 2k views • 20 slides Gastroenteritis 57 Nuber Científ. Reference Dennehy PH.�Acute diarrheal disease in children: epidemiology, prevention, and treatment.�Infect Dis Clin North Am.�Sep�2005;19(3):585-602.� "NHS Direct: Gastroenteritis". Burden of Rotavirus Disease & Impact of Rotavirus Vaccination - . Gastroenteritis caused by viruses ¿Quieres presentarlos de una forma creativa y original para llamar la atención de tu público? La etiología más frecuente son las infecciones virales y el diagnóstico es generalmente sindrómico. Enteral feeding should be continued during recovery from episode of diarrhea. definitions and terms: acute gastroenteritis (age): diarrheal disease. acute care module jonathan bae, md. Acute Gastroenteritis - . salmonella. may 2015 ce condell medical center ems system site code: 107200e-1215. King CK, Glass R, Bresee JS, Duggan C. Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. background • gastroenteritis refers to an acute inflammation of the stomach and intestines resulting in vomiting and diarrhea • gastroenteritis is one of the most common diseases affecting children • second most common acute infection after uri • viruses are the most common causes of acute gastroenteritis in developed and developing countries • … 浙江大学医学院附属儿童医院江米足. Se puede acompañar de nauseas, rápida. Rotavirus. • S. sonnei — mildest illness; seen most commonly in developed countries. Nursing assessment • Assess hydration status • Input output chart • Assess stool(nature, consistency & frequency) • h/o travel to other country • Ask if child is on antibiotics, the food eaten recently & contact with contaminated person. Azithromycin dosage for children can range (depending on body weight) from 5 mg to 20 mg per kilogram of body weight per day, once daily for 3–5 days. It appears that you have an ad-blocker running. loperamide, opiates, bismuth subsalicylate) are not recommended for use in AGE. GLÁNDULAS ACCESORIAS: salivales, hígado y páncreas. Start with a teaspoonful every five minutes in children and a tablespoonful every five minutes in older children and adults. • Quinolone-resistant Campylobacter is present in several areas of South-East Asia (e.g., in Thailand) and azithromycin is then the appropriate treatment, PROBIOTICS Several probiotics (Saccharomyces boulardii , Lactobacillus rhamnosus and a mixture of Lactobacillus acidophilus and Bifidobacterium bifidum) had significant efficacy (at preventing traveler’s diarrhea)” Probiotics mixture reduced the severity of diarrhea and length of hospital stay in children with acute diarrhea. fiebre. • If diarrhea increases and /or vomiting persists, take child over to a health clinic. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. wafa sama’n pediatrics md.

Mortalidad en países en vías de desarrollo: 650/100,000 habitantes/año. • ORS does not stop diarrhea, but keeps the body hydrated and healthy until the diarrhea passes. Unidad i digestivo - sindrome diarreico agudo - fernanda pineda gea - med... Vomito, Estreñimiento, Dolor abdominal y Parasitosis intestinal, Insuficiencia Arterial y Trombosis Venosa Profunda, Tomografía Computada y Resonancia Magnética de la Columna Vertebral, Síndrome Nefrótico (glomerulopatías primarias), Hiperbilirrubinemia del Recién Nacido (Ictericia Neonatal), Exploración de Cuello y Cadenas Ganglionares, Categorias epidemiologicas: Persona, tiempo y Lugar, INFORME_ESTADISTICO_INDOT_GESTION_2014.pdf, 18.- U3. • Guillain–Barré syndrome is a rare complication. Acute lactose intolerance is seen in some patients ,so they should be given Lactose free formula like replacing some of milk requirements with yogurt or milk free diet like comminuted chicken or elemental milk. Salmonella. • Extraintestinal manifestations like osteomyelitis,septic arthritis,meningitis • Usually self limiting disease like food poisoning. Work-Up Labs The vast majority of children presenting with acute gastroenteritis do not require serum or urine tests Moderate-severe dehydration: Electrolytes, bicarbonate, and urea/creatinine Fecal leukocytes and stool culture Evidence of systemic infection-complete workup: CBC and blood cultures. Case Scenario • Baby Darwina is 9 months old is still breast feeding and has started weaning since 4 months old. case 1. gastroenteritis al cabo de unas horas después de los vómitos y generalmente acompañado de fiebre aparece la diarrea gastroenteritisla diarrea se caracteriza por la eliminación de materia fecal líquida, lo que hace perder agua y sales del organismo con riesgo de deshidratación, si además hay vómitos el problema aumenta al dificultar la … jie chen , md ,phd children hospital zhe jiang university. • As oral rehydration is less painful, less invasive, less expensive, and easier to provide, it is the treatment of choice for mild dehydration from infectious gastroenteritis. INFECTION CONTROL • Proper hand washing • Practice barrier nursing • Placed patient in isolation room. • Usually all children acquired Rotavirus, enterovirus and Giardia lamblia in the first 5 years of life.
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